Carpal tunnel syndrome occurs when there is pressure on the median nerve at the wrist. The median nerve is one of the three main nerves in the hand, extending from the neck to the fingers. Pressure on the median nerve is typically caused by surrounding tissues becoming too tight, leading to compression of the nerve.

Symptoms and Diagnosis

Common symptoms include tingling, especially in the index and middle fingers, and a sensation of electric shocks radiating from the wrist to the index, middle, or ring fingers. When diagnosing carpal tunnel syndrome, it is essential to rule out compression of the median nerve at other levels, such as the elbow or neck. During the examination, the doctor may tap or press on the area of nerve compression to confirm the diagnosis.

Watch video of Open Carpal Tunnel Release Surgery

Treatment Options

Treatment for carpal tunnel syndrome often begins with non-surgical approaches:

• Non-Surgical Treatment: This may include a low-dose steroid injection into the carpal tunnel to reduce swelling and inflammation, as well as the use of a wrist splint.
• Surgical Treatment: If non-surgical methods are unsuccessful, a carpal tunnel release surgery may be recommended. This procedure involves making a small incision over the wrist to release any tissues pressing on the median nerve. The surgery is typically performed under local anaesthetic, allowing the patient to remain awake without feeling pain.

Recovery and Post-Surgery Care

Carpal tunnel release surgery is usually done as a day case, meaning the patient can go home the same day with a light bandage. A follow-up wound check is typically scheduled two weeks after the procedure. This surgery is generally very successful, with most patients experiencing significant improvement, although some may find that it takes a few months for their symptoms to fully resolve.